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Neurology

Study Course Description

Course Description Statuss:Approved
Course Description Version:1.00
Study Course Accepted:13.02.2024 09:07:15
Study Course Information
Course Code:NUNK_020LQF level:Level 6
Credit Points:3.33ECTS:5.00
Branch of Science:Clinical Medicine; NeurologyTarget Audience:Rehabilitation; Medicine
Study Course Supervisor
Course Supervisor:Ilga Ķikule
Study Course Implementer
Structural Unit:Department of Neurology and Neurosurgery
The Head of Structural Unit:
Contacts:Riga, 13 Pilsonu Street, VSIA P.Stradiņa KUS, Block No 37; 2 Hipokrata Street, Unit No 7, Room No 901, neuroatrsu[pnkts]lv, +371 67069653; +371 67536540
Study Course Planning
Full-Time - Semester No.1
Lectures (count)5Lecture Length (academic hours)2Total Contact Hours of Lectures10
Classes (count)4Class Length (academic hours)3Total Contact Hours of Classes12
Total Contact Hours22
Full-Time - Semester No.2
Lectures (count)5Lecture Length (academic hours)2Total Contact Hours of Lectures10
Classes (count)7Class Length (academic hours)3Total Contact Hours of Classes21
Total Contact Hours31
Study course description
Preliminary Knowledge:
Preliminary theoretical knowledge in anatomy and physiology of the nervous system.
Objective:
To facilitate the acquisition of knowledge about the pathogenesis of the main diseases of the nervous system, clinical manifestations thereof, the principles of treatment and the objectives of rehabilitation in the care thereof.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Introduction to neuroscience. Tasks of the neurology discipline. Development, structure and clinical anatomy of the nervous system: neurons, synapses, neurotransmitters, glial cells. Basics of embryonic development of the nervous system. Additional examinations in neurology.Lectures1.00clinical base
2Cerebral circulation disorders: types, pathogenesis, risk factors, main clinical manifestations. Basic principles of treatment of cerebrovascular diseases. Rehabilitation tasks and audiology and speech therapy solutions at different stages of stroke care.Lectures1.00clinical base
3Functional disorders of the peripheral nervous system. Syndromes of damage to the neck and brachial plexus and branches thereof, mononeuropathies of the elbow and hand, clinical manifestations thereof and the most common aetiology. Polyneuropatia. Guillain-Barré syndrome, clinical manifestations. Audiology and speech therapy solutions for patients with peripheral nervous system damage.Lectures1.00clinical base
4Cognitive deficit and dementia. Alzheimer’s disease and other types of dementia. Clinical manifestations, diagnostic principles. Scales and tests to assess cognitive function.Lectures1.00clinical base
5Paroxysmal conditions: epileptic and non-epileptic seizures. Basic principles of care and treatment, emergency assistance during a seizure. Causes, types and clinical signs of neural infections. Sequelae of neural infections, tasks of care and prevention. The role of audio speech therapist in patient care.Lectures1.00clinical base
6Demyelinating diseases of the nervous system, course and manifestations thereof, aspects of rehabilitation. Diseases of motor neurons. Amyotrophic lateral sclerosis – clinical manifestations, basic principles of care and treatment. The role of audio speech therapist in patient care.Lectures1.00clinical base
7Head injury. Glasgow coma scale. Care and rehabilitation tasks for patients with traumatic brain injury. Hydrocephalus.Lectures1.00clinical base
8Classification of headaches (ICHD-3). Warning symptoms of headaches. Risk factors, treatment principles and prevention of the most common primary headaches. Neuro-oncology – classification of tumours. Principles of diagnosis, treatment, care and rehabilitation.Lectures1.00clinical base
9Neuromuscular diseases. Myasthenia gravis, muscular dystrophies, myopathies – aetiology, pathogenesis, clinic, examination, treatment options and audiology and speech therapy principles.Lectures1.00clinical base
10History of neurological disease. Basic principles of examination of neurological condition. Neural regulation of the locomotor act and movement disorder syndromes – paresis and paralysis, signs thereof. Central and peripheral motor neurons. Care and rehabilitation tasks for patients with active movement and mobility impairments.Classes1.00clinical base
11Functional anatomy of the sensory system. Symptoms of sensory system impairment, neurological examination thereof. Principles of care and rehabilitation in case of sensory impairment.Classes1.00clinical base
12Anatomy of the cerebellum and vestibular system. Balance and coordination disorders: types of ataxias and vertigo. Audiology and speech therapy solutions in the care and rehabilitation of patients with coordination and balance disorders.Classes1.00clinical base
13Anatomy of the extrapyramidal system. Extrapyramidal movement disorder syndromes: Parkinson’s disease and hyperkinesis. Care and rehabilitation tasks in case of Parkinsonism and hyperkinesia patients.Classes1.00clinical base
14Cranial nerves (I). Neurological syndromes of olfactory, visual impairment. Mechanism of eye movement regulation. Eye movement disorders. Nystagmus.Classes1.00clinical base
15Cranial nerves (II). Paresis of mimetic muscles (central and peripheral). Syndromes of different levels of N.facialis damage. Principles of audiology and speech therapy in patients with paresis of the mimetic muscles. Facial sensibility disorders, types thereof. N.trigeminus damage syndromes.Classes1.00clinical base
16Cranial nerves (III). Neurological syndromes of damage to the vestibular and auditory systems. Cranial nerve IX, X, XI damage syndromes: bulbar and pseudobulbar palsy. N.accessorius and its damage syndromes. Dysarthria, classification, clinical manifestations thereof. Dysphagia. Swallow test.Classes1.00clinical base
17Anatomy of the cerebral hemispheres. Symptoms of damage to the cerebral hemispheres (frontal lobe, parietal lobe, temporal lobe and occipital lobe). Types of aphasia. Classification, evaluation of aphasia. Agnosia. Apraxia. Neglect syndrome.Classes1.00clinical base
18Cerebrovascular diseases. Transient ischaemic attack. Ischaemic stroke. NIHSS. Modified Rankin Scale. Exclusion syndromes of different cerebral arteries (ACI, ACM, ACA, ACP, AB, AV, cerebellar arteries). Principles of reperfusion therapy and secondary prevention. Haemorrhagic stroke, clinical picture, principles of treatment.Classes1.00clinical base
19Peculiarities of neurological examination of children. Children's cerebral palsy - etiology, pathogenesis, clinical forms. Audiologopedic therapy solutions for children with BCT.Classes1.00clinical base
20Neurodegenerative diseasesLectures1.00E-Studies platform
21Neurological examination of childrenClasses1.00clinical base
Assessment
Unaided Work:
● To assess and interpret the patient’s neurological symptoms, communication and swallowing disorders; ● To work independently with literature on neurology. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.
Assessment Criteria:
● Active participation in classes, in discussions, quality of oral answers; ● Quality of tests, test works during the cycle on covered topics; ● Ability to perform a neurological examination, to interpret symptoms; ● Test results during the cycle on covered topics.
Final Examination (Full-Time):Exam (Oral)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:As a result of completing the study course, the student is able to do the following: ● describe and assess a patient with a neurological condition based on anamnesis and symptoms, with emphasis on language, speech, swallowing and communication disorders and other accompanying neurological symptoms; ● describe the aetiology, pathogenesis and clinical picture of the most common neurological disorders that result in the development of audiology and speech disorders; ● describe the different types of language and speech disorders in patients with neurological conditions; ● set and substantiate rehabilitation objectives for neurological patients with communication, speech, language and swallowing disorders.
Skills:As a result of completing the study course, the student will be able: ● to assess the patient’s neurological condition; ● to recognise the main syndromes of neurological damage; ● to assess language and speech disorders; ● to determine the degree of swallowing disorders using tests that can be used in practice; ● to develop the objectives and key tasks for audiology and speech therapy rehabilitation.
Competencies:As a result of successfully completing the study course, the student is able: ● to recognise and differentiate between audiology and speech symptoms of the most common neurological diseases – speech, language, swallowing and communication disorders, as well as other accompanying neurological symptoms; logically explain the neurological diagnosis; ● to develop and substantiate audiology and speech therapy solutions to achieve rehabilitation objectives, adapted to the specific neurological clinical situation.
Bibliography
No.Reference
Required Reading
1Logina I., Smeltere E. Neiroloģija shēmās. Avots: 2009. (izdevums akceptējams)
2Fuller G. Neurological Examination Made Easy. Ch.Livingstone, Elsivier, Edinburg, London, N-Y, 2020.
3 Webb W. Neurology for the Speech-Language Pathologist. 6th Edition. Elsevier, 2017 
4Adams and Victor`s Principles of Neurology. 10th Edition. McGrawHill, 2019.
5Mattle H. Mumenthaler M.Fundamentals of Neurology – an illustrated guide. 2nd Edition. Thieme. Stuttgart, 2017.
6Gārša I. Ievads neiroķirurģijā. Nac.medicīnas apgāds, 2000., 2008. (izdevums akceptējams)
Additional Reading
1Metodiskās rekomendācijas studentiem//RSU
2Current Diagnosis and Treatment Neurology. McGrawHill, 2019.
3H. Royden Jones Jr., Jayashri Srinivasan, Gregory J. Allam and Richard A. Bake. Netter's Neurology. 2020. ISBN-10: 1437702732
4Oxford Handbook Of Neurology. Oxford University Press, 2014.
5Supe I. Rokasgrāmata neiroloģijā. Nac.medicīnas apgāds, 2004.
Other Information Sources
1http://emedicine.medscape.com
2https://www.uptodate.com